The Savannah Cat Club
 The International Breed Club of the Savannah Cat

Savannah Cat Club Rescue Adoption Agreement

Please provide the following contact information:

Full Name 
Street Address 
City 
State/Province 
Zip/Postal Code 
Work Phone 
Home Phone 
Email
Date 

Complete the requested information below:

Employment: Full-time  Part-time  Unemployed  Retired
Spouse Employed?  Yes  No  N/A
Do You:  Rent an apartment  Rent a house  Own house, mobile or condo
If you rent, what is your landlord's name :                                   Phone: 
Does your landlord allow pets? Yes  No
May we contact your landlord? Yes  No
How long have you lived at your present address:  
Are you planning to move within the next six months?  Yes  No
If you do move in the future, what will you do with your pet? 
 
How many adults in your household? 
How many children?     Ages:  
Who will be responsible for the pet?  
Does anyone in your household have allergies to animals? Yes  No
How many pets do you currently have in your household?  
Please describe them:
 
 
 

LIST PETS OWNED IN THE LAST FIVE YEARS, OTHER THAN LISTED ABOVE
 
 
 

Where were they kept?
How long did you own them?
What happened?
Other:
 
Have you ever brought an animal to a shelter? Yes  No
What where the circumstances? 
 
I want this Savannah cat for:
my companionship
family companionship
hunting/mouser
for children
indoor/outdoor pet
for friend/relative
house pet
for other pets
outdoor pet only
breeder
other
 
Where will the pet sleep?
in house
yard
garage
porch
other

How many hours a day would this pet be alone?  
Do you plan to spay/neuter your new pet? Yes  No

At this point in time (life situations change) do you believe you can afford to maintain a pet for the rest of it's natural life? (adoption fee, food, veterinary expenses, vaccinations, spaying/neutering, license fees, unexpected medical costs, etc.)  Yes  No

NO animal adopted from the Savannah Cat Club Rescue is to be sold or given away to another individual. Do you agree to this condition?  Yes  No
 
Do you object to an agent of the Savannah Cat Club Rescue coming to your home to inspect your premises to verify the accuracy of statements made in this questionnaire and or check on the animal's well being?   Yes  No
 
Do you understand that the Savannah Cat Club Rescue is authorized to remove the animal from your home if it is not receiving adequate care, if it is being endangered by lack of veterinary care, or if there has been a violation of the adoption agreement? Yes  No

Are you aware that you are required to have this adopted pet spayed or neutered? Yes  No

Do you understand that the Savannah Cat Club Rescue makes no guarantees about the animal's temperament, that an animal is good with children or other animals, is housebroken, etc., and that the Savannah Cat Club Rescue is not liable for any future injury or damage which may be caused by this animal?  Yes  No

Dated:   
Signature: (full name) 

Thank you for filling out this adoption form.  

Please copy this form into an email and send to: rescue@savannahcatclub.com
 
We will let you know if any further information is necessary.

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Last updated: 01/06/08.